Membership Renewal Form 2015 - 16
Surname
First Name
DOB (if under 18) Mobile Number
Email address
Home Address +
Post Code
Telephone (Home)
Type of membership
Membership fee
Family (2 adults + children under 18 on 01.3.15)
Adult
Student (full time students under 25 on 01.03.15)
Junior
(18 + under on 01.03.2015)
Mini associate member
(8 + under on 01.03.15)
£335
£130
£60
£55
£20
Membership fee
if paid by 1/3/2015
£305
£120
£55
£50
£20
Total Paid
Total
Annual membership runs from 1st March 2015 to 29th February 2016. The above subscription rate includes LTA affiliation
fees.
Your contact details will be added to the membership list, held on the secure, “members’ only” area of the website. We will
not share or divulge your details to any third party. If you do not wish your details to be included, please tick the box.
Any member wishing to be entered for the Wimbledon Draw, play for club teams or compete in Junior Ratings matches must
become a member of British Tennis by registering on the LTA website, nominate HLTC as their “Place to Play” and “Opt In”. It
is easy and free. Go to www.lta.org.uk/members/join or call British Tennis on 0208 487 7000.
By renewing your membership you are agreeing to abide by the Rules of Play of the Club; details can be found on the Club
website.
Date……………………………………………………………
Please send your completed form and cheque, made payable to HLTC Ltd, to: HLTC Membership Secretary
Mrs Susie Urquhart, Applecroft, Beech Road, Haslemere, Surrey GU27 2BX
Tel: 01428 651699
Email susieurquhart@hotmail.com
Or pay online
Account: HLTC Ltd Account No: 00390461
Sort Code: 20-31-06
When paying online, please put your name as a reference and send the completed form by email to Susie.